白色申请表格.pdf
白色申请表格.pdf
Please use this form if you want the Hong Kong Offer Shares to be issued in your name 如 閣下欲以本身名義登記 將 獲發 行的 香港發 售股 份， 請使 用本 表格 e樣 版 Staple your payment here 請將股款 緊釘在此 This Application Form uses the same terms as defined in the prospectus of Zhou Hei Ya International Holdings Company Limited (the “Company”) dated 1 November 2016 (the “Prospectus”). 本申請表格使用周黑鴨國際控股有限公司（「本公司」）於二零一六年十一月一日刊發的招股章程（「招股章 程」）所界定的詞語。 Neither this Application Form nor the Prospectus constitutes an offer to sell or the solicitation of an offer to buy any Hong Kong Offer Shares in any jurisdiction other than Hong Kong. The Hong Kong Offer Shares may not be offered or sold in the United States without registration or an exemption from registration under the U.S. Securities Act. 本申請表格及招股章程概不構成在香港以外司法權區要約出售或游說要約購買香港發售股份。若無根據 發售 發售股 美國《證券法》登記或豁免登記，香港發售股份不得在美國提呈發售或出售。 This Application Form and the Prospectus may not be forwarded or distributed or reproduced d (in n wh whole or in part) in any manner whatsoever in any jurisdiction where such forwarding, distribution or reproduction is not ot permitted under un the law of that jurisdiction. 任何根據當地法例不得發送、派發或複製本申請表格及招股章程的司法權區內概不得發送或派發或複製 權區內概不得發送或派發或 區內概不得發送或派 （不論方式，也不論全部或部分）本申請表格及招股章程。 Copies of the Prospectus, all related Application Forms and the other documentss specified ecified in the “Documents Delivered Del to the Registrar of Companies and Available for Inspection” section in Appendix VI to the Prospectus, have been registered by the Registrar of Companies in Hong Kong as required by Section 342C of the Companies ompanies (Winding Up and Miscellaneous Provisions) Ordinance (Chapter 32 of the Laws of Hong Kong). Hong Kong Exchanges anges and Clearing Limited, Th The Stock Exchange of Hong Kong Limited (the “Hong Kong Stock Exchange”), ),, Hong Kong Securities Clearing Company Limited (“HKSCC”), the Securities and Futures Commission of Hong Kongg (the “SFC”) and the Registrar of Companies of Hong H Kong take no responsibility for the contents of these documents. 招股章程、所有相關申請表格及招股章程附錄六「送呈公司註冊處處長及備查文件」 呈公司註冊處處長及備查文件」一節所述其他文件已 一節所述其他 遵照香港法例第32章《公司（清盤及雜項條文）條例》第342C條的規定，送呈香港公司註冊處處長登記。香 第342C 342C條的規定，送呈香港公司註冊處處長 條的規定，送呈香港公司註冊處處長 港交易及結算所有限公司、香港聯合交易所有限公司 （「香港結 公司（「香港聯交所」）、香港中央結算有限公司 、香港中央結算有限公 香港中央結算 算」）、香港證券及期貨事務監察委員會（「證監會」 會」）及香港公司註冊處處長對此等文件的內容概不負責。 及香港公司註冊處處長對此等文件的內 香港公司註冊處處長對此等文件的 Zhou Hei Ya International tional ional Holdings C Company Compan Limited 周黑鴨國際控股有限公司 (Incorporated rated in the Cayman yman Islands with limited liability) （於開曼群島註冊成立的有限公司） 冊成立的有限公司 Sa m pl Stock ck code : 1458 股份代號 : 145 1458 Maximum Offer Price : HK$7.80 per Offer Share, plus 1.0% brokerage, SFC transaction levy of 0.0027% and Hong Kong Stock transa Exchange trading fee of 0.005% (payable in full on Exc application in Hong Kong dollars and subject to refund) a 最高發售價 高發售 : 每股發售股份7.80港元，另加1.0%經紀佣金、 0.0027%證監會交易徵費及0.005%香港聯交所 交易費（須於申請時以港元繳足，多繳股款可予 退還） You should ould uld read this Application pp Form For in conjunction con with the Prospectus, which contains further information on the hee application pp p procedures. 招股章程尚有關於申請程序的其他資料，本申請表格應與招股章程一併閱讀。 股章程尚有關於申請程序的 股章程尚有關於申請程序的其他資 ✄ Application Form 申請表格 A ou Hei Ya International rna Hold To: Zhou Holdings Company Limited Joint Global lobal Coordinators Coord The Hong g Kon Kong Underw Underwriters 致： 周黑鴨國際控股有限公司 聯席全球協調人 香港包銷商 Applicants’ declaration aration I/We agree to the terms and conditions and application procedures in this Application Form and the Prospectus. Please refer to the “Effect of completing and submitting this Application Form” section of this Application Form. Warning: Only one application may be made for the benefit of any person. Please refer to the last four bullets of the “Effect of completing and submitting this Application Form” section. 申請人聲明 本人 吾等同意本申請表格及招股章程的條款及 條件以及申請程序。見本申請表格「填交本申請 表格的效用」一節。 警告：任何人士只限作出一次為其利益而進行的 認購申請。請參閱「填交本申請表格的效用」一節 最後四點。 Please use this form if you want the Hong Kong Offer Shares to be issued in your name 如 閣下欲以本身名義登記 將 獲發 行的 香港發 售股 份， 請使 用本 表格 Signed by (all) applicant(s) (all joint applicants must sign): 由（所有）申請人簽署（所有聯名申請人必須簽署）： For Broker use 此欄供經紀填寫 Broker No. 經紀號碼 Lodged by 遞交申請的經紀 Broker’s Chop 經紀印章 ........................................................................................................................... Date: 日期：.............................. D日 .............................. M月 .............................. Y年 Number of Hong Kong Offer Shares applied for (not more than 21,223,500 shares) 申請香港發售股份數目（不超過21,223,500股股份） Cheque/banker’s cashier order number er 支票╱銀行本票 支票╱銀行本票號碼 支票╱銀行本 Sa m pl e樣 版 Name of bank on which cheque/Banker’s heque/Banker que/B ’s cashier order is drawn (see “How to make your ur application” application section) 兌現支票╱銀行 本票的銀行名稱（見「申請手續」一節） 見「申請手續」一節） 申請手續」一 Total amount 總額 HK$ 港元 Name in English 英文姓名 名稱 Family name or company name 姓氏或公司名稱 Forename(s) ame(s)) 名字 Name in Chinese 中文姓名 名稱 Family name or company name 姓氏或公司名稱 For Forename(s) ename(s) ame(s) 名字 Occupation in English 職業（以英文填寫） Hong Kon Kong g Identity dentity Card No No./Passport No./Hong Kong Business No./Pas No.* Registration ggistration N .* (Please delete dele as a appropriate) 香港身份證號碼╱ 護照號碼╱香港商業登記號碼 護照號碼╱香港 港商業登記 港商業登記號 *（請刪除不適用者） Names of all other joint applicants in English (if any) ny) 所有其他聯名申請人的英文姓名╱名稱（如有） 1) 2) Hong Kong Ide Identity Car Card No./Passport No./Hong Kong Business Registration No. of aall other joint applicants* (Please delete as Regi appropriate) ppropria pp p p 所有其他聯名申請人的香港身份證號碼╱護照號碼 所有其 ╱香港商業登記號碼 ╱香港商業登記 香港 *（請刪除不適用者） 1) 2) 3) 3) Hong Kong address in English nglish and telephone ephone no. (joint applicants should give the address and the telephone number of first-named applicant only) 香港地址（以英文填寫）及電話號碼（聯名申請人只須填寫排名首位申請人的地址及電話號碼） 英文填寫）及電話號碼（聯名申請人只須填寫 及電話號碼（聯名申請人只須填寫 Telephone No. 電話號碼 For Nominees: ominees: minees: You will be treated as apply applying for you your own benefit if you ou u do not complete this section. Please provide an account number orr identification entification code for each (joint) beneficial oowner. 由代名人遞 交：代名人若不填寫本節，是項認購申請將視作為 ：代名人若不填寫本節，是項認購申請將 代名人若不填寫本節，是項認 閣下利益 提出。請填寫每名（聯名）實益擁有人的賬戶號碼或識別編 。請填寫每名（聯名 。請填寫每名（聯名）實益擁有人 碼。 ADDRESS LABEL EL 地址標貼 (Your name(s) and address in Hong Kong in BLOCK letters ters 請用 請用英文正楷填寫姓名╱名稱及香港地 址) For Internal use 此欄供內部使用 Please use this form if you want the Hong Kong Offer Shares to be issued in your name 如 閣下欲以本身名義登記 將 獲發 行的 香港發 售股 份， 請使 用本 表格 * (1)An individual must provide his Hong Kong Identity Card number or, if he does not hold a Hong Kong Identity Card, his passport number. A body corporate must provide its Hong Kong Business Registration number. Each joint applicant must provide its or his relevant number. The Hong Kong Identity Card number(s)/passport number(s)/ Hong Kong Business Registration number(s) will be transferred to a third party for checking the Application Form’s validity. 個別人士須填寫其香港身份證號碼或（如非香港身份證持有人）護照號碼。法人團體須填寫其香 法人團體須 人團 港商業登記號碼。每名聯名申請人均須提供其相關號碼。該等香港身份證號碼╱護照號碼╱香 證號碼╱護照號碼 號碼╱護照號 港商業登記號碼將轉交第三方以核實申請表格的有效性。 e樣 版 (2) Part of the Hong Kong Identity Card number/passport number of you or, for or joint applicants, the first-named applicant may be printed on your refund cheque (if any). Your banker may requiree verification of your Hong Kong nd d chequ cheque. Identity Card number/passport number before you can cash your refund 屬聯名申請人）排名首位申請人的香 排名首位申請人 排名首位申請人的 日後如需退回申請股款，退款支票上或會印有 閣下或（如屬聯名申請人） 支票前或會要求查證 票前或會要求查證 閣下的香港身份證號 閣下的香港身 港身份證號碼╱護照號碼的一部分。銀行兌現退款支票前或會要求查證 碼╱護照號碼。 Sa m pl (3) If an application is made by an unlisted company and: seecurities; urities; and • the principal business of that company is dealing in securities; y, • you exercise statutory control over that company, t then the application will be treated as being made for your benefit benefit. 倘若申請人是一家非上市公司，而： ；及 及 • 該公司主要從事證券買賣業務；及 制權， • 閣下對該公司可行使法定控制權， 利益提出。 是項申請將視作為 閣下的利益提出。 m pl e樣 版 Sa This page ge is intentionally left blan blank 此乃 白頁特 白 頁特 意留 空 Please use this form if you want the Hong Kong Offer Shares to be issued in your name How to make your application 1. Use the table below to calculate how much you must pay. Your application must be for a minimum of 500 Hong Kong Offer Shares and in one of the numbers set out in the table, or your application will be rejected. NUMBER OF SHARES THAT MAY BE APPLIED FOR AND PAYMENTS Amount payable on application HK$ No. of Hong Kong Offer Shares applied for Amount payable on application HK$ No. of Hong Kong Offer Shares applied for 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500 5,000 6,000 7,000 8,000 9,000 10,000 15,000 3,939.31 7,878.60 11,817.91 15,757.20 19,696.51 23,635.80 27,575.11 31,514.40 35,453.71 39,393.00 47,271.60 55,150.20 63,028.80 70,907.41 78,786.01 118,179.01 20,000 25,000 30,000 35,000 40,000 45,000 50,000 60,000 70,000 80,000 90,000 100,000 200,000 300,000 400,000 500,000 0 157,572.01 196,965.02 236,358.02 275,751.02 315,144.02 354,537.03 393,930.03 03 472,716.04 6.04 551,502.04 ,502.04 04 630,288.0 630,288.05 709,074.05 09,074.05 787,860.06 860.06 1,575,720.12 1,5 575,720.12 5,720.12 2,363,580.18 2,363 ,580.18 18 3,151,440.24 3,151,44 0.24 4 3,939,300.30 3,939,300.3 939,300. 0 600,000 ,000 00 700,000 00,000 800,000 00,000 900,000 1,000,000 000,000 2,000,000 ,000 3,000,000 ,000,000 4,000,000 5,000,000 6,000,000 7,000,000 8,000,000 9,000,000 10,000,000 ,000,000 (1) 21,223,500 21,223,5 ,2 Amount Am Amo payable application on app HK$ 4,727,16 4,727,160.36 5,515,020.42 5,515,020 6,302,880.48 6,302,880. 7,090,740.54 7,878,600.60 7,878,600.6 15,757,201.20 15,757,201.2 23,635,801.80 23,635,801. 31,514,402.40 31,514,402. 31,514,402 39,393,003.00 39,393,0 39,393, 47,271,603.60 47,27 47 55,150,204.20 55 63,028,804.80 70,907,405.40 78,786,006.00 167,211,479.84 pl e樣 版 (1) No. of Hong Kong Offer Shares applied for Maximum number of Hong Kong Offer Shares you may apply fo for. Complete the form in English and sign it. Only written tten signatures w will be aaccepted (and not by way of personal chop). 3. Staple your cheque or banker’s ker’s cashier order to the form. form Each application applic for the Hong Kong Offer Shares must be accompanied by either one separate te cheque or one separate separ banke banker’s cashier order. Your application will be rejected if your cheque or banker’s nker’s cashier er order does not meet me all the following requirements: Sa m 2. The cheque must: st: Banker’s cashier order must: • • • • be in Hong ong Kong dollars; dollar not be post-dated; ed; bee made payable tto ““HORSFORD HORSFORD NOM HORSFOR NOMINEES LIMITED – ZHY PUBLIC OFFER”; be crossed “Account ccount Payee O Only Only”; ”; • be drawn on your Hong K Kong doll dollar bank account in • be issued by a licensed bank in Hong Kong, and have Hong Kong; and your name certified on the back by a person authorised show ow your account unt name, which wh must either be by the bank. The name on the banker’s cashier order pre-printed rinted nted on the cheque cheque, or be endorsed on the back must correspond with your name. If it is a joint by a person on authorised a by the bank. This account application, the name on the back of the banker’s cashier name must correspond correspo with your name. If it is a joint order must be the same as the first-named applicant’s application, the account name must be the same as name. the first-named applicant’s name. • Please use this form if you want the Hong Kong Offer Shares to be issued in your name 4. Tear off the Application Form, fold it once and lodge your completed Application Form (with cheque or banker’s cashier order attached) to one of the collection boxes at any of the following branches of: Standard Chartered Bank (Hong Kong) Limited Address Des Voeux Road Branch Standard Chartered Bank Building, 4-4A, Des Voeux oeux ux Road R Central, Central Quarry Bay Branch G/F, Westlandss Gardens, 1027 King’ss Road, Quarry Bay e樣 版 Hong Kong Island Branch Name Kowloon New Territories Causeway Bay Branch ee Wah Mansion, G/F to 2/F, Yee 38-40A 40A Yee Wo Street, Causeway Bay Kwun Tong Hoi Yuen Road Branch G/F, Fook Cheong Building, Buildin No. 63 Hoi Yuen Road, Kwun Tong San Po Kong Branch Shop A, G/F, Perfect Industrial Industria Building, 31 Tai Yau Stre Street, San Po Kong 68 Nathan Road Branch Basement, Shop B1, G/F and M/F Golden olden Crown Co Court, 66 6-70 Nathan R 66-70 Road, Tsim Sha Tsui ranch ch Shatin Plaza Branch Sho No Shop o 8, Shatin Plaza, No. 21-27 Sha 21Shatin Centre Street, Shatin ranch Name me Branch A Address Centrall District Sub-Branch G/F., Far East Consortium Building, 125A Des Voeux Road C., Central m Hong Kong Island pl Bank of Communications Co., Ltd. Hongg Kong Branch G/F., 113-119 Belcher’s Street, Kennedy Town Cheung heung Sha S Wan Plaza Sub-Branch Unit G04 on G/F., Cheung Sha Wan Plaza, 833 Cheung Sha Wan Road Sa Kowloon wlo wloon Kennedy Town Sub-Bran Sub-Branch New Territories 5. Tiu Ke Keng Leng Sub-Branch Shops Nos. L2-064 and L2-065, Level 2, Metro Town, Tiu Keng Leng Your Applicatio Application Form ccan be lodged at these times: Tuesday, 1 November 2016 — 9:00 a.m. to 5:00 p.m. Wednesday, 2 November 2016 — 9:00 a.m. to 5:00 p.m. Thursday, 3 November 2016 — 9:00 a.m. to 5:00 p.m. Friday, 4 November 2016 — 9:00 a.m. to 12:00 noon 6. The latest time for lodging your application is 12:00 noon on Friday, 4 November 2016. The application lists will be open between 11:45 a.m. to 12:00 noon on that day, subject only to the weather conditions, as described in “10. Effect of Bad Weather on the Opening of the Application Lists” in the “How to Apply for Hong Kong Offer Shares” section of the Prospectus. 如 閣下欲以本身名義登記將獲發行的香港發售股份，請使用本表格 申請手續 1. 使用下表計算 閣下應付的款項。 閣下申請認購的股數須至少為500股香港發售股份，並為下 表所列的其中一個數目，否則恕不受理。 可供申請認購股份數目及應繳款項 申請時 應繳款項 港元 申請認購的 香港發售股份數目 申請時 應繳款項 港元 申請認購的 香港發售股份數目 份數目 數目 申請時 申請 應繳款項 應繳 港元 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500 5,000 6,000 7,000 8,000 9,000 10,000 15,000 3,939.31 7,878.60 11,817.91 15,757.20 19,696.51 23,635.80 27,575.11 31,514.40 35,453.71 39,393.00 47,271.60 55,150.20 63,028.80 70,907.41 78,786.01 118,179.01 20,000 25,000 30,000 35,000 40,000 45,000 50,000 60,000 70,000 80,000 90,000 100,000 200,000 300,000 0 400,000 000 500,000 00,000 ,000 157,572.01 196,965.02 236,358.02 275,751.02 315,144.02 2 354,537.03 7.03 393,930.03 930.03 03 472,716.04 72,716.04 551,502.04 51,502.04 630,288.05 288.0 709,074.05 9,074.05 787,860.06 787 7,860.06 .06 1,575,720.12 1,575,72 20.12 2 2,363,580.18 2,363,580. 363,580.18 3,151,440.24 3,939,300.30 3,939, 600,000 700,000 800,000 900,000 0,000 1,000,000 00 2,000,000 3,000,000 4,000,000 5,000,000 6,000,000 ,000,000 7,000,000 7,000,00 8,000,000 ,000,000 9,000,000 9,000,00 ,0 10,000,000 10,000 0,0 21,223,500 (1) 21 21, 4,727,160. 4,727,160.36 5,515,020.42 6,302,880.48 6,302,880.4 7,090,740.54 7,090,740.5 7,878,600.60 7,878,600. 15,757,201.20 15,757,201.2 15,757,201 23,635,801.80 23,635,80 23,635,8 31,514,402.40 331,514 39,393,003.00 39, 39 447,271,603.60 55,150,204.20 63,028,804.80 70,907,405.40 78,786,006.00 167,211,479.84 (1) pl e樣 版 申請認購的 香港發售股份數目 閣下可申請認購的香港發售股份最高數目。 目。 以英文填妥及簽署申請表格。只接納親筆簽名 格。只接納親筆簽名 納親筆簽名（不得 （不得以個人印章代替） （不得以個人印 。 3. 閣下須將支票或銀行本票釘於表格上。每份香港發售股份申請須附一張獨立開出支票或一張獨 行本票釘於表格上。每份香港發售 釘於表格上。每份香 立開出銀行本票。支票或銀行本票必須符合以下所有規定，否則有關的認購申請不獲接納： 票。支票或銀行本票必須符合以下所 銀行本票必須符合 m 2. 支票必須： 銀行本票必須： Sa • 為港元； 港元； • 不得為期票； • 註明抬頭人為 註 「浩豐代理人有限公司－周黑鴨公開發售」 「浩豐代理人有限 浩豐代理 ； • 劃線註明「只准入抬頭人賬戶」 「只准入抬頭人賬戶 ； 「只准入抬頭 • 從 閣下在香港的港元 閣下在香港的港元銀行賬戶中開出；及 香港 • 顯示 閣下的賬戶名稱，而該賬戶名稱必須 閣下的 閣下的賬戶名 已預印在支票上，或由有關銀行授權的人士 支票上 在支票背書。賬戶名稱必須與 閣下姓名 名稱相同。如屬聯名申請，賬戶名稱必須與 排名首位申請人的姓名 名稱相同。 • 須由香港持牌銀行開出，並由有關銀行授權 的人士在銀行本票背面簽署核證 閣下姓名 名稱。銀行本票所示姓名 名稱須與 閣 下姓名 名稱相同。如屬聯名申請，銀行本 票背面所示姓名 名稱必須與排名首位申請 人的姓名 名稱相同。 如 4. 閣下欲以本身名義登記將獲發行的香港發售股份，請使用本表格 請撕下申請表格，對摺一次，然後將填妥的申請表格（連同支票或銀行本票）投入下列任何一家 分行特設的收集箱： 渣打銀行（香港）有限公司 九龍 新界 地址 德輔道分行 中環德輔道中4-4A號渣打銀行大廈 號渣打銀行大廈 渣打銀行大廈 朂魚涌分行 朂魚涌英皇道1027號惠安苑地下 02 號惠安苑地下 027 銅鑼灣分行 銅鑼灣怡和街38-40A號怡華大廈地下至2樓 怡和街 和街38-40A 38-40A號怡華大廈地下至 號怡華大廈地下至2樓 觀塘開源道分行 塘開源道63 塘開源道 63號福昌大廈地下 號福昌大廈地下 觀塘開源道63號福昌大廈地下 新蒲崗分行 新蒲崗大有街31 新蒲崗大有街 新蒲崗大有街31號善美工業大廈地下A號舖 31號善美工業大廈 號善美工業大 68彌敦道分行 尖沙咀彌敦道 尖沙咀彌敦道66-70 尖沙咀彌敦道66-70號金冠大廈地庫、 66-7 號金冠 號金 地下 地下B1號舖及中層 下B11號舖及中層 沙田廣場分行 沙田沙田 田正街21 21 沙田沙田正街21-27號沙田廣場8號舖 e樣 版 港島 分行名稱 pl 交通銀行股份有限公司 香港分行 行 行 分行 地址 地 中區支行 支行 中環 中環德輔道中125A號遠東發展大廈地下 堅尼地城支行 堅尼地城卑路乍街113-119號地下 九龍 長沙灣廣場支行 長沙灣廣場支 長沙灣道833號長沙灣廣場地下G04號舖 新界 界 調景嶺 調景嶺支行 調景嶺都會 Sa m 港島 5. 商場2樓L2-064及L2-065號舖 閣下可於下列時間遞交申請表格： 閣下可於下列時間遞交 閣下可於下列時間遞交申請表 二零一六年十一月一日 二零一六年十 零一 （星期二） － 上午九時正至下午五時正 二零一六年十一月二日 二零 二零一六年 （星期三） － 上午九時正至下午五時正 二零一六年十一月三日 二零一 （星期四） － 上午九時正至下午五時正 二零一六年十一月四日 零 （星期五） － 上午九時正至中午十二時正 6. 截止遞交申請的時間為二零一六年十一月四日（星期五）中午十二時正。本公司將於當日上午十 一時四十五分至中午十二時正期間登記認購申請，唯一會影響此時間的變化因素為當日的天氣 情況（詳見招股章程「如何申請香港發售股份」一節「10.惡劣天氣對辦理申請登記的影響」）。 Please use this form if you want the Hong Kong Offer Shares to be issued in your name Zhou Hei Ya International Holdings Company Limited 周黑鴨國際控股有限公司 (Incorporated in the Cayman Islands with limited liability) GLOBAL OFFERING A. 1. 2. 3. 4. 5. Who can apply You and any person(s) for whose benefit you are applying must be 18 years of age or older and must have a Hong Kong address. If you are a firm, the application must be in the individual members’ names. The number of joint applicants may not exceed 4. If you are a body corporate, the application must be signed by a duly authorised officer, who must state his representative capacity, and stamped with your corporation’s chop. You must be outside the United States, not be a United States Person (as defined in Regulation S under the U.S. Securities Act) and not be a legal or natural person of the PRC. Unless permitted by the Listing Rules, you cannot apply for or any Hong Kong Offer Shares if you are: • an existing beneficial owner of shares in the Company mpany and/or any of its subsidiaries; • a Director or chief executive officer of the Company ompany pany and/ or any of its subsidiaries; • a connected person or core connected ted person of thee Company or will become a connected ected personn or core c connected person of the Company pany immediately iately upon completion of the Global Offering; ering; • an associate or close associate iate of any of the above; abo or • have been allocated or have applied forr or indica indicated an national Offer fer Shares or otherwise interest in any International participate in the International Offering. • • • • pl 6. contained in the Prospectus spectus pectus in making your application and will not rely on any other her information nformation or representations except those in any supplement ment to the Prospectus; Prospect confirm that Global att you are aware of the restrictions on the Globa Offering in the Prospectus; Prospe agree that none one of the Company, the Joint Global Coordinators, Coor Coordi the Joint oint Sponsors, the Underwriters, their respective respecti directors, officers, s, employees, partners, agents, advisers and an any other parties involved in the Global Offering is or wi will be liable for any Prospectus (and any information and representations not in the P Pr supplement upplement to it); person(s) for whose benefit undertake and confirm that you oor the pe you have made the application ha have not applied for or taken up, will not apply for or take up, or or indicated ated an interest for, and w indicate Offer Shares under the International indica ate an interest for, an any Of Offering nor participated in the International Offering; Offering the Company, the Hong Kong Share agree gree to ddisclose isclose to th receiving Registrar, rrec eiving bbanks, the Joint Global Coordinators, the the Joint Spons Sponsors, th h Underwriters and/or their respective advisers personal data which they may require about you and agents any pers person(s) for whose benefit you have made the and nd the person(s app application; if the laws oof any place outside Hong Kong apply to your application, agree and warrant that you have complied with all applicatio laws and none of the Company, the Joint Sponsors, the such la Joint Global Coordinators, the Joint Bookrunners, the Joint Lead Join Managers and the Underwriters nor any of their respective officers M or advisers will breach any law outside Hong Kong as a result of the acceptance of your offer to purchase, or any action arising from your rights and obligations under the terms and conditions contained in the Prospectus and this Application Form; agree that once your application has been accepted, you may not rescind it because of an innocent misrepresentation; agree that your application will be governed by the laws of Hong Kong; represent, warrant and undertake that (i) you understand that the Hong Kong Offer Shares have not been and will not be registered under the U.S. Securities Act; and (ii) you and any person for whose benefit you are applying for the Hong Kong Offer Shares are outside the United States (as defined in Regulation S) or are a person described in paragraph (h)(3) of Rule 902 of Regulation S; warrant that the information you have provided is true and accurate; agree to accept the Hong Kong Offer Shares applied for, or any lesser number allocated to you under the application; authorise the Company to place your name(s) on the Company’s register of members as the holder(s) of any Hong Kong Offer Shares allocated to you, and the Company and/or its agents to send any share certificate(s) and/or any e-Refund payment instructions and/or any refund cheque(s) to you or the firstnamed applicant for joint application by ordinary post at your own risk to the address stated on the application, unless you have fullfilled the criteria mentioned in the “Personal Collection” section in the Prospectus to collect the share certificate(s) and/ or refund cheque(s) in person; e樣 版 Conditions of your application Sa m ee B. If you are a nominee You, as a nominee, mayy make moree than one application for the Hong Kong Offer Shares by: (i) giving electronic instructions to HKSCC ing and Settlement ent System (“CCASS”) (“CCASS CASS””) (if you are ar a via Central Clearing CCASS Participant); YELLOW Application ipant); or (ii)) using a WHITE or YELL Appli Form, and lodge more than one application in your own name on behalf off different fferent beneficial owners. C. Effect of completing and submitting Form submitti this Application Ap Byy completing Form, ompleting and submitting this Application Ap Fo you (and if you aree joint severally) for yourself or as oint applicants, each of you jointly jointl and sever an agent person for whom you act: ent or a nominee on beh behalf of each pers • undertake dertake to execute te all relevant ddocuments and instruct and authorise orisee the Compa Company and/or the Joint Global Coordinators (or theirr agents or nominees nominees), as agents of the Company, to execute any for you and to do on your behalf all yd documents fo things necessary any Hong Kong Offer Shares sary to register re allocated to you in yo your name as required by the Memorandum and Articles of Association; • agree to comply with the Companies Ordinance, the Companies (Winding Up and Miscellaneous Provisions) Ordinance and the Memorandum and Articles of Association; • confirm that you have read the terms and conditions and application procedures set out in the Prospectus and in this Application Form and agree to be bound by them; • confirm that you have received and read the Prospectus and have only relied on the information and representations • • • • • • • Please use this form if you want the Hong Kong Offer Shares to be issued in your name • • • declare and represent that this is the only application made and the only application intended by you to be made to benefit you or the person for whose benefit you are applying; understand that the Company and the Joint Global Coordinators will rely on your declarations and representations in deciding whether or not to make any allotment of any of the Hong Kong Offer Shares to you and that you may be prosecuted for making a false declaration; (if the application is made for your own benefit) warrant that no other application has been or will be made for your benefit on a WHITE or YELLOW Application Form or by giving electronic application instructions to HKSCC or to the White Form eIPO Service Provider by you or by any one as your agent or by any other person; and (if you are making the application as an agent for the benefit of another person) warrant that (i) no other application has been or will be made by you as agent for or for the benefit of that person or by that person or by any other person as agent for that person on a WHITE or YELLOW Application Form or by giving electronic application instructions to HKSCC and (ii) you have due authority to sign the Application Form or give electronic application instructions on behalf of that other person as their agent. If you are an individual who is eligible for personal collection, you must not authorise any other person to collect for you. If you are a corporate applicant which is eligible for personal collection, your authorised representative must bear a letter of authorisation from your corporation stamped with your corporation’s chop. Both individuals and authorised representatives must produce, at the time of collection, H evidence of identity acceptable to Computersharee Hong Kong Investor Services Limited. ate(s) s) an and/or refun If you do not collect your Share certificate(s) refund cheque(s) pecified ified for collection, collecti they t personally within the time period specified will ress as specified on this Application Applic A be dispatched promptly to the address own risk. Form by ordinary post at yourr ow ,000,000 Hong Kong Offer Shares, your If you apply for less than 1,000,000 or sharee certificate(s) will be sent to the address refund cheque(s) and/or lication Form m on or before Thursday, 10 November No on the relevant Application ry post and at your own risk. 2016, by ordinary e樣 版 • D. Power of attorney If your application is made through an authorised attorney, the Company and the Joint Global Coordinators may accept or reject ect your application at their discretion, and on any conditions they y think fit, including evidence of the attorney’s authority. The refund pro procedures ar are stated in the “14. Dispatch/Collection of share certificates and rrefund monies” in the “How to Apply for Hong Kong Of Offer Shares Shares” section of the Prospectus. m pl Determination of Offer Price and Allocation of Hong ng Kong ong Offer Shares The Offer Price is expected to be fixed on or around Saturday, 5 November 2016. Applicants are required to pay the maximum imum Offer Price of HK$7.80 for each Hong Kong Offer ffer Share together gether with 1% brokerage, 0.0027% SFC transaction levy and 0.005% 5% Hong Kong Stock Exchange trading fee. If the Offer Price is nott agreed be between obal Coordinators nators (on behalf of the the Company and the Joint Global day, 10 November 2016, Hong Kong Underwriters) on or before Thursday, the Global Offering will not proceed. Refund of your money If you do not receive any Hong Kong Offer Shares oor if your cation is rejected, not accepted or accepted only in part or if the application nditions ditions of the Global Offering are not fulfilled in accordance with conditions Structure cture of the Global Offering – Conditions Condition of the t Global Offering” “Structure ection in the Prospectus or if your application applic ap section is revoked, the Com mpany any will refund to you your application applicat app Company monies (including the related 1% brokerage, 0.0027% SFC ttransaction levy and 0.005% Hong Kon g Stock ock Exchange tra trading fee) without interest. If the offer Kong price ce is less th hann the maximum Offer O than Price, the Company will refund too you the surpl us applicat applicatio surplus application monies (including the related 1% brokerage, rokerage, 0.002 0.0027% % SFC ttransaction levy and 0.005% Hong Kong Stock ock Exchange ttradin trading fee) without interest. g Kong Offerr Shares will not be processed and Applications for Hong y Hong Kong Offer Shares will be m made until th no allotment of any the application listss close. Sa any ny expects to announce the fixed offer price, the iindication The Company evel vel of interest in the International Offering, the level of of the level ications cations under the Hong Kong Publi Public Offering and the basis of applications location ation of the Hong Kong Public O Offering on oor before Thursday, allocation ovember 2016 in South China Morning M P (in English), Hong 10 November Post Chinese), the w Kong Economic Times (in C website of the Hong Kong Stock Exchange xchange at www.hkexnews.hk .hk and the Company’s website at www.zhouheiya.cn. uheiya.cn. heiya.cn. y Results Re of all allocations in Hong Kong Public Offering, and the he Hon Hong Kong Id Identity Card/passport/Hong Kong business registration tion numbers tio numbe of successful applicants (where applicable) will be available ailable on the above websites. If your application for Hong Kong Offer Shares is successful (in whole or in part) If you apply for 1,000,000 or more Hong Kong Offer Shares, you may collect Share certificate(s) and/or refund cheque(s) in person from Computershare Hong Kong Investor Services Limited at Shops 1712-1716, 17th Floor, Hopewell Centre, 183 Queen’s Road East, Wanchai, Hong Kong, from 9:00 a.m. to 1:00 p.m. on Thursday, 10 November 2016 or such other date as notified by us in the newspapers. Application by HKSCC Nominees Limited (“HKSCC Nominees”) Where this Application Form is signed by HKSCC Nominees on behalf of persons who have given electronic application instructions to ap apply for the Hong Kong Offer Shares, the provisions of this A Ap Application Form which are inconsistent with those set out in the Prospectus shall not apply and provisions in the Prospectus shall prevail. Without limiting the generality of this paragraph, the following sections of this Application Form are inapplicable where this form is signed by HKSCC Nominees: • “Applicants’ declaration” on the first page; • “Warning” on the first page; • “If you are a nominee”; • All representations and warranties under the “Effect of completing and submitting this Application Form” section, except the first one regarding registration of Hong Kong Offer Shares in the applicant’s name and the signing of documents to enable the applicant to be registered as the holder of the Hong Kong Offer Shares; • “If your application for Hong Kong Offer Shares is successful (in whole or in part)”; and • “Refund of your money”. The following sections in the “How to Apply for Hong Kong Offer Shares” section of the Prospectus are inapplicable where this form is signed by HKSCC Nominees • “8. How many applications can you make”; and • “12. Circumstances in which you will not be allotted offer shares”. 如 閣下欲以本身名義登記將獲發行的香港發售股份，請使用本表格 Zhou Hei Ya International Holdings Company Limited 周黑鴨國際控股有限公司 （於開曼群島註冊成立的有限公司） 全 球 發 售 甲、 可提出申請的人士 1. 閣下及 閣下為其利益提出申請的人士必須年滿18歲 並有香港地址。 • 同意遵守《公司條例》 例》、《公司 《公 （清盤及雜項條文） （清盤及雜項條文 條例》 及組織章程大綱及細則； 綱及細則； 細則 • 確認 閣下已細閱招股章程及本申請表格所載的條款 下已細閱招股章程及本申請表格所載的條款 細閱招股章程及本申請表格所載 及條件以及申請程序，並同意受其約束； 以及申請程序，並同意受其約束； 及申請程序，並同意受其約束； • 認 閣下已接獲及細閱招股章程，提出申請 確認 閣下已接獲及細閱招股章程，提出申請時也僅 依據招股章程載列的資料及陳述，而除招股章程任何 依據招股章程載列的資料及陳述，而除招股 招股章程載列的資料及陳述，而除招 補充文件外，不會依賴任何其他資料或陳述； 補充文件外，不會依賴任何其他資料 補充文件外，不會依賴任何其他資料或 • 確認 • 同意本公司、聯席全球協 同意本公司、聯席全球協調人、 同意本公司、聯席全球協調人、聯席保薦人、包銷 商、彼等各自的董事、高級職 彼等各自的董事、高級 商、彼等各自的董事、高級職員、僱員、合夥人、代 e樣 版 申請條件 2. 如 閣下為商號，申請須以個別成員名義提出。 3. 聯名申請人不得超過四名。 4. 如 閣下為法人團體，申請須經獲正式授權人員簽 署，並註明其所屬代表身份及蓋上公司印鑑。 5. 閣下必須身處美國境外，並非美籍人士（定義見美國 《證券法》S規例），亦非中國法人或自然人。 理、顧問及參與全球發售的任何其他人士現時及日後 理、 、顧問及參與全球發售的 問及參與全球發 均毋須 對並非載於招股 對並非載於招 均毋須對並非載於招股章程 （及其任何補充文件）的任 何資料及 何資料及陳 陳述負責 責 何資料及陳述負責； 任何 除《上市規則》批准外，下列人士概不得申請認購任何 香港發售股份： • 現有實益擁 有實益擁 本公司及╱或其任何附屬公司股份的現有實益擁 有人； • 本公司及 人員； • 關連人士或緊隨全球發售 緊隨全球發售 本公司關連人士或核心關連人士或緊隨全球發售 完成後成為本公司關連人士或核心關連人士的人 連人士或核心關連人士的人 心關連人士 • 的董事或最高行政 或其任何附屬公司的董事或最高行政 • 上述任何人士的聯繫人或緊密聯繫人；或 的聯繫人或緊密聯繫人；或 或緊密聯繫人； • m 士； 已獲分配或已申請或表示有意申請國際發售的任 或已申請或表示有意申請國際發售的任 表示有意申請國際發售的任 發售股份或以其他方式參與國際發售之人 以其他方式參與國際發售之人 何國際發售股份或以其他方式參與國際發售之人 • 關 • Sa • 同意 閣下的申請一經接納，即不得因無意的失實陳 述而撤銷； • 同意 • 聲明、保證及承諾：(i)閣下明白香港發售股份不曾亦 不會根據美國《證券法》登記；及(ii)閣下及 閣下為其 利益申請香港發售股份的人士均身處美國境外（定義見 S規例），或屬S規例第902條第(h)(3)段所述的人士； • 保證 • 同意接納所申請數目或根據申請分配予 較少的香港發售股份； 承諾促使所有相關文件生效，並指示及授權本公司及 ╱或作為本公司代理的聯席全球協調人（或彼等的代 理或代名人），代表 閣下促使任何文件生效，並為 按照組織章程大綱及細則的規定將 閣下獲分配的任 何香港發售股份以 閣下名義登記； 若如香港境外任何地方的法例適用於 閣下的申請， 則同意及保證 閣下已遵守所有有關法例，且本公 司、聯席保薦人、聯席全球協調人、聯席賬簿管理 及責任所引致的任何行動，而違反香港境外的任何法 例； 丙、 填交本申請表格的效用 請表 請表格的效用 • 閣下為其利益提出申請的人士的個人資 人、聯席牽頭經辦人及包銷商和彼等各自的高級職員 或顧問概不會因接納 閣下的購買要約，或 閣下在 招股章程及本申請表格所載的條款及條件項下的權利 作為代名人可提交超過一份香港 作為代名人可提交超過一份香港發售股份 閣下作為代名人可提交超過一份香港發售股份申請，方法 是：(i)透過中央結算及交收系統 ：(i) (i)透過中央結算及交收系統 交收系統（「中央結算系統」 「中央結算 ）向香港 結 算 發 出 電 子 認 購 指 示（如 閣 下 為 中 央 結 算 系 統 參 與 或 (ii) (ii)使用 使用白色或 或 黃色 黃 申請表格 者）；或(ii)使用白色或黃色申請表格，以自身名義代表不 本申請表 閣下填妥並遞交本申請表格，即表示 閣下（如屬聯名申 請人，即各人共同及個別）代表 閣下本身，或作為 閣 下代其行事的每位人士的代理或代名人： 閣下及 料； 閣下為代名人 同的實益擁有人提交超過一份申請。 益擁有人提交超過一份申 交超 同意在本 同意在本公司、香港證券登記處、收款銀行、聯席全 球協 球協調人、聯席保薦人、包銷商及 或彼等各自的顧 問 問及代理提出要求時，向彼等披露其所要求提供有 士。 乙、 如 承諾及確認 閣 閣下或 閣下為其利益提出申請的人士 並無申請 並無申請或接納 並無申請或接納或表示有意認購（亦不會申請或接納 或表示有意認購 或表示有意認購）國際發售的任何發售股份，也沒有 參 參與國際發 參與國際發售； pl 6. 閣下知悉招股章程內有關全球 閣下知悉招股章程內有關 閣下知悉招股章程內有關全球發售的限制； 閣下的申請受香港法例規管； 閣下提供的資料真實及準確； 閣下但數目 如 授權本公司將 閣下的姓名 名稱列入本公司股東名 冊，作為 閣下獲分配的任何香港發售股份的持有 人，並授權本公司及╱或其代理以普通郵遞方式按申 請所示地址向 閣下或聯名申請的首名申請人發送任 何股票及 或任何電子退款指示及╱或退款支票，郵 誤風險由 閣下承擔，除非 閣下已符合招股章程內 「親身領取」章節的條件親身領取股票及 或退款支 票； 如 • 聲明及表示此乃 閣下為本身或 閣下為其利益提出 申請的人士提出及擬提出的唯一申請； 寄往本申請表格所示地址，郵誤風險由 郵誤風險由 誤風險由 • 明白本公司及聯席全球協調人將依據 閣下的聲明及 陳述而決定是否向 閣下分配任何香港發售股份， 閣下如作出虛假聲明，可能會被檢控； 閣下為個人申請人並合資格親身領取， 權任何其他人士代領。如 人領取， 閣下不得授 閣下為公司申請人並合資格派 閣下的授權代表須攜同蓋上公司印鑑的授權書 領取。個人申請人及授權代表領取股票時均須出示香港中 央證券登記有限公司接納的身份證明文件。 如 閣下並無在指定領取時間內親身領取股票及 身領取股票 領取股 支票，有關股票及 如 或退款 或退款支票將會立刻以普通郵遞方式 將會立刻以普通 會立刻 閣下承 閣下承擔 閣下承擔。 閣下申請認購1,000,000股以下香港發售股份， 000 00股以下香港發售股份， 股以下香港發售股份， 閣下 e樣 版 • 閣下欲以本身名義登記將獲發行的香港發售股份，請使用本表格 • （如本申請為 閣下本身的利益提出）保證 閣下或作 為 閣下代理的任何人士或任何其他人士不曾亦不會 為 閣下的利益以白色或黃色申請表格或向香港結算 或白表eIPO服務供應商發出電子認購指示而提出其他 申請；及 • （如 閣下作為代理為另一人士的利益提出申請）保證 (i) 閣下（作為代理或為該人士利益）或該人士或任何 其他作為該人士代理的人士不曾亦不會以白色或黃色 其他 申請表格或向香港結算發出電子認購指示而提出其他 代 代理代 申請；及(ii) 閣下獲正式授權作為該人士的代理代 為簽署申請表格或發出電子認購指示。 的退款支票及 或股票將於二零一六年十一月十日 票將於二零一六年十一月十日（星期 期 四）或之前以普通郵遞方式寄往相關申請表格所示地址， 郵遞方式寄往相關申請表格所示地址， 式寄往相關申請表格所示地址， 郵誤風險由 閣下承擔 閣下承擔。 退回款項 若 閣下未獲分配任何香港發售股份或申請遭拒 閣下未獲分配任何香港發售股份或申請遭拒絕受理、 獲分配任何香港發售股份或申請遭拒 不獲接納或僅部分獲接納或倘全球發售的條件並未根據招 獲接納或僅部分獲接納或倘全球發售的 獲接納或僅部分獲接納或倘全球發售的條件 股章程 程「全球發售的架構－全球發售的 「全球發售的架構－全球發售的條件」一節達成或 「全球發售的架構－全球發售的條件 閣下的申請遭撤銷，本公司將不計利息 閣下的申請遭撤銷，本公司將不計利息退回 的申請遭撤銷，本公司將不 閣下的申請 股款（包括相關的1%經紀佣金、0.0027%證監會交易徵費 （包括相關的 括相關的1% %經紀佣金、 經紀佣金、0 及0.005% 及0.005%香港聯交所交易費） %香港聯交所交易費） 港聯交所交易 。如最終釐定的發售價低於 。 最高發售價 最高發售價，本公司將不計利息退回多收申請股款 高發售價 ，本公司將不計 本公司將不 （包括 相關的1% 相關的 相關的1%經紀佣金、0.0027%證監會交易徵費及0.005%香 1 經紀佣 紀 佣金、0.0 0 港聯交所交易費 。 港聯交所交易費） 丁、 授權書 有關退款程序載於招 有關退款程序 有關退款程序載於招股章程「如何申請香港發售股份」一節 「 14.發送╱領取股 14. 發送 「14.發送╱領取股票及退回股款」 一段。 pl 司及聯席全球協調 如 閣下透過授權人士提出申請，本公司及聯席全球協調 授權證明）酌情接納 人可按其認為合適的條件（包括出示獲授權證明） 或拒絕 閣下的申請。 釐定發售價及香港發售股份的分配 分配 m 十一月五日 日（星期六） （星期六 或前後釐 預期發售價於二零一六年十一月五日 定。申請人須繳付每股香港發售股份7.80港元的最高發售 香港發售股份 股份7.80 7 港元的最高發售 金、0.0027% % 證監會交易徵費及 證監會交易徵費及0.005% 0.005% 價，另加1%經紀佣金、0.0027%證監會交易徵費及0.005% 香港聯交所交易費。倘若本公司與聯席全球協調人 費。倘若本公司與聯席全球協調人 公司與聯席全球協調 （代表 表 六年十一月十日（星 （星期四）或 香港包銷商）並無於二零一六年十一月十日 或之 前協定發售價，全球發售將不會進行。 售價，全球發售將不會進行。 發售將不會進行。 香港中央結算 港 （代理人）有限公司（「香港結算代理人」）提出 的申請 如本申 如本申請表格由香港結算代理人代表發出電子認購指示申 請 請香港發售股份的人士簽署，本申請表格與招股章程不符 的條文將不適用，且以招股章程所述者為準。 在不限制此段一般應用的前提下，本申請表格的以下部分 在香港結算代理人作簽署人的情況下並不適用： • 第一頁的「申請人聲明」； • 第一頁的「警告」； 公司預期於二零一六年十一月 （星 本公司預期於二零一六年十一月十日 （星期四） 或之前在南 報（以英文）、香港經濟日報 、香港經 （以中 華早報 （以中文）、香港聯交所網 站 (www.hkexnews.hk)及 .hkexnews.hk) k)及 及 本 公 司 網 站 (www.zhouheiya.cn) 公布協定發售價、國際發售踴躍程度、香港公開發售認購 發售價、國際發售踴躍 售價、國際 水平及香港公開發售分配基準。香港公開發售的分配結果 開發 開發售分配基 以及獲接納申請人的香港身份證╱護照╱香港商業登記號 人的香港 碼（如適用）亦同於上述網站公布。 • 「如 如 • 「退回款項」。 Sa 截止登記認購申請前，概不處理香港發售股份的申請或配 記認購申請前，概不處理香港發 記認購申請前，概不處理香港發售股份的 發任何香港發售股份。 任何香港發售股份。 何香港發售股份。 閣下成功申請認購香港發售股份（全部或部分） 如 閣下申請認購1,000,000股或以上香港發售股份， 閣 下可於二零一六年十一月十日（星期四）或本公司在報章上 公佈的其他日期上午九時正至下午一時正，親臨香港中央 證券登記有限公司（地址為香港灣仔皇后大道東183號合和 中心17樓1712-1716室）領取股票及 或退款支票。 閣下為代名人」； • 「填交本申請表格的效用」一節項下的所有陳述及保 證，惟首項有關以申請人名義登記香港發售股份及簽 署使申請人登記成為香港發售股份持有人的文件除 外； • 「如 閣 下 成 功 申 請 認 購 香 港 發 售 股 份（全 部 或 部 分）」；及 招股章程「如何申請香港發售股份」一節的以下部分在香港 結算代理人作簽署人的情況下並不適用： • 「8.閣下可提交的申請數目」；及 • 「12.閣下不獲配發發售股份的情況」。 Please use this form if you want the Hong Kong Offer Shares to be issued in your name • Personal Data Personal Information Collection Statement This Personal Information Collection Statement informs the applicant for, and holder of, Hong Kong Offer Shares, of the policies and practices of the Company and its Hong Kong Share Registrar in relation to personal data and the Personal Data (Privacy) Ordinance (Chapter 486 of the Laws of Hong Kong) (the “Ordinance”). 3. Transfer of personal data Personal data held by the Company anyy and an its Hong Ho Kong Share Registrar relating to thee securities ecurities holders hold will be kept confidential but the Company mpany ny and its Hong Kong Ko Share S Registrar may, to the extent nt necessary for achievin achieving any oof the above purposes, disclose, isclose, sclose, obtain or transfer (whether (w within or outside Hongg Kong) the personal data to, from or with any of the he following: ng: • the Company’s financial mpany pany’’s appointed agents such as fin financi advisers, principal ers, receiving eceiving bankers and overseas pr princ share aree registrar; • wheree applicants for securities request a ddeposit into Nominees, who will CCASS, HKSCC or HKSCC Nom Nomine purposes of operating use the personal data for the pu purpos CCASS; • third-party service providers any agents, contractors or thi third-p administrative, telecommunications, w offer administrative who computer, com comp puter, ter, payment or o other oth services to the Company Share Registrar in connection with or the Hong Hong Kong Sha Sh respective business operation; their resp respe ective bus Kong Stock Exchange, the SFC and any other • the Hong K Kon ng S regulatory or governmental bodies or statutory regul required by laws, rules or regulations; and otherwise as requ otherwi or institutions with which the securities’ • any persons o have or propose to have dealings, such as their holders ha h bankers, solicitors, accountants or stockbrokers etc. bankers e樣 版 1. Reasons for the collection of your personal data It is necessary for applicants and registered holders of securities to supply correct personal data to the Company or its agents and the Hong Kong Share Registrar when applying for securities or transferring securities into or out of their names or in procuring the services of the Hong Kong Share Registrar. any other incidental or associated purposes relating to the above and/or to enable the Company and the Hong Kong Share Registrar to discharge their obligations to securities’ holders and/or regulators and/ or any other purposes to which the securities’ holders may from time to time agree. Failure to supply the requested data may result in your application for securities being rejected, or in delay or the inability of the Company or its Hong Kong Share Registrar to effect transfers or otherwise render their services. It may also prevent or delay registration or transfers of the Hong Kong Offer Shares which you have successfully applied for and/or the dispatch of share certificate(s) and/or refund d cheque(s) and/or e-Refund payment to which you are entitled. pl It is important that securities holders inform thee Company ompany and the Hong Kong Share Registrar immediately diately of any inaccuracies in the personal data supplied. d. Sa m 2. Purposes The personal data of the securities es holders may be used, held, processed, and/or stored (by by whatever means) for the following purposes: • processing your application lication and/or or refund cheque and/ or an e-Refund d payment, nt, where applicable, verification of compliance iance with the terms and application procedures set out in this Application Form and thee Prospectus tus and announcing results of allocation ation of thee Hong Kong Offer Sh Shares; • compliance regulations in mpliance pliance with applicable laws and regu Hong Kong and elsewhere; • into or out of the registering new issues or tra transfers in including, where names of securities’ securities ’ holders h i applicable, HKSCC Nominees; • maintaining aintaining or up updating the register of securities’ holders rss of the Co Company; • verifying holders’ identities; g secu securities hol • establishing benefit entitlements of securities’ holders of the Company, ny such as dividends, rights issues, bonus issues, etc.; • distributing communications from the Company and its subsidiaries; • compiling statistical information and securities’ holder profiles; • disclosing relevant information to facilitate claims on entitlements; and Retention of personal data 4. Re Company and its Hong Kong Share Registrar will keep The C th personal data of the applicants and holders of securities the for as long as necessary to fulfil the purposes for which the personal data were collected. Personal data which is no longer required will be destroyed or dealt with in accordance with the Ordinance. 5. Access to and correction of personal data Securities holders have the right to ascertain whether the Company or the Hong Kong Share Registrar hold their personal data, to obtain a copy of that data, and to correct any data that is inaccurate. The Company and the Hong Kong Share Registrar have the right to charge a reasonable fee for the processing of such requests. All requests for access to data or correction of data should be addressed to us, at our registered address disclosed in the “Corporate Information” section of the Prospectus or as notified from time to time, for the attention of the company secretary, or our Hong Kong Share Registrar for the attention of the privacy compliance officer. By signing an Application Form or by giving electronic application instructions to HKSCC, you agree to all of the above. 如 閣下欲以本身名義登記將獲發行的香港發售股份，請使用本表格 個人資料 3. 個人資料收集聲明 此項個人資料收集聲明是向香港發售股份的申請 人和持有人說明有關本公司及其香港證券登記處 有關個人資料和香港法例第486章《個人資料（私 隱）條例》 （「《條例》」）方面的政策和慣例。 本公司及其香港證券登記處所持有關證券持有人 1. 收集 閣下個人資料的原因 證券申請人及登記持有人以本身名義申請證券或 轉讓或受讓證券時或尋求香港證券登記處的服務 時，必須向本公司或其代理人及香港證券登記處 提供準確個人資料。 • 本公司委任的代理人，例如財務顧問、收款 人，例如財務顧問、 ，例如財務顧問 未能提供所要求的資料可能導致 閣下申請證券 被拒或延遲，或本公司或其香港證券登記處無法 落實轉讓或提供服務。此舉也可能妨礙或延遲登 記或轉讓 閣下成功申請的香港發售股份及╱或 寄發 閣下應得的股票及╱或退款支票及╱或電 子退款。 • 向本公司或香港證券登記處提供與其各自業 本公司或香港證券登記處提供與其各 轉交個人資料 的個人資料將會保密，但本公司及其香港證券登 記處可以在為達到上述任何目的之必要情況下， 向下列任何人士披露，獲取或轉交 （無論在香港 轉交（ 境內或境外）有關個人資料： e樣 版 銀行和主要海外股份過戶登記處； 股份過戶登記處 股份過戶登記處； 證券持有人所提供的個人資料如有任何錯誤，須 誤 誤，須 立即通知本公司及香港證券登記處。 • （如證券申請人要求將證券存於中央結算系 人要求將證券存於中央結算系 統）香港結算或香港結算代理人；彼等將會 結算或香港結算代理人；彼等將會 香港結算代理人；彼等 就中央結算系統的運作使用有關個人資料； 央結算系統的運作使用有關個人資料 結算系統的運作使用有關個人資 務營運有關的行政、電訊、電腦、付款或其 務營運有關的行政、電訊、電腦、 他服務的任何代理人、承包商或第三方服務 他服務的任何代理人、承包商或 他服務的任何代理人、承包商 供應商； 香港聯交所、證監會及任何其他法定監管機 • 香港聯交所、證監會及任 香 聯交所、證監會及 關或政府部門或遵照其他法例、規則或法 規；及 證券持有人與其進行或擬進行交易的任何人 • 證券持有 證券持有人 人與 Sa m pl 士或機構，例如彼等的銀行、律師、會計師 士或機構 士或機構，例 2. 目的 證券持有人的個人資料可被採用及以任何方式持 或股票經紀等。 及以任何方式持 何方式持 或 或股票經紀 有，處理及╱或保存，以作下列用途： 下列用途： ： 個人資料的保留 4. 個人資 • 處理 閣下的申請及 或退款支票及╱或電 票及╱ 本公司及其香港證券登記處將按收集個人資料所需 子退款（如適用）、核實是否符合本申請表格 核實是否符合本申請表格 否符合本申請表格 本公司 及招股章程載列的條款和申請程序以及公布 的用途保留證券申請人及持有人的個人資料。無需 列的條款和申請程序以及公布 和申請程序以及公布 的用 的 香港發售股份的分配結果； 份的分配結果； 配結果； 保留的個人資料將會根據《條例》銷毀或處理。 • 遵守香港及其他地區的適用法律及法規； 港及其他地區的適用法律及法規； 區的適用法律及 • 以 證 券 持 有 人（包 括 香 港 結 算 代 理 人（ （如 適 5. 查閱和更正個人資料 用） 的名義登記新發行證券或轉讓或受讓證 證券持有人有權確定本公司或香港證券登記處是 ））的名義登記新發行證券或轉讓或 的名義登記新發行證券或 券； 否持有其個人資料，並有權索取有關該資料的副 存置或更新本公司證券持有人的名冊； • 存置或更新本公司證券持有人 存置或更新本公司證券 本並更正任何不準確資料。本公司和香港證券登 • 核實證券持有人的身份； 核實證券持有人 記處有權就處理任何查閱資料的要求收取合理費 • 確定本公司證券持有人的受益權利，例如股 定本公司證券持有人 證券 用。 息、供股和紅股等； 供股和紅 供股和紅股等； 所有查閱資料或更正資料的要求應按招股章程 • 分發本公司及其附屬公司的通訊； 司 司及其附 「公司資料」一節所披露或不時通知的本公司註冊 • 編製統計數據和證券持有人資料； 據 • 披露有關資料以便就權益索償；及 地址送交公司秘書，或向本公司的香港證券登記 • 與上述有關的任何其他附帶或相關目的及╱ 處的個人資料私隱事務主任提出。 或使本公司及香港證券登記處能履行對證券 持有人及╱或監管機構承擔的責任及╱或證 閣下簽署申請表格或向香港結算發出電子認購指 券持有人不時同意的任何其他目的。 示，即表示同意上述各項。